An evolutionary role of the ED

Outcomes of patients with colorectal cancers presenting to the ED were not compromised

Yu Lung Chen, Wei Chou Chang, Hsien He Hsu, Chin Wang Hsu, Yen Yue Lin, Shih Hung Tsai

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose Patients with colorectal cancer (CRC) who present to the emergency department (ED) reportedly have poorer prognoses than other referral sources. The purpose of this study was to compare the clinical presentations and outcomes of patients referred to the hospital from the ED and those referred from non-ED facilities. Methods This retrospective medical record review study was conducted from January 1, 2008, to December 31, 2008, and comprised patients newly diagnosed as having CRC admitted to the hospital from the ED or referred from non-ED sources. Patients were admitted for CRC diagnosis confirmation, staging, and treatment. The staging at diagnosis and 2-year mortality were measured. Results Forty-five (29.2%) patients comprised the ED group, and another 109 (70.8%) patients comprised the non-ED group. Patients in the ED group had significantly longer hospital stays, greater in-hospital mortality, abdominal pain, intestinal obstruction, complications, lower hemoglobin levels, and more proximal than rectosigmoid tumor locations compared with patients referred from other sources. However, there was no statistically significant difference in stage at diagnosis or 2-year mortality rate between the groups. Conclusions The ED played a pivotal role in the clinical and diagnostic evaluations of patients with CRC at our institution. Emergency department physicians provided timely diagnoses of CRC because the stage at diagnosis and 2-year mortality rate of ED patients were not compromised compared with that of patients referred from non-ED sources. Efforts should be made to reduce the numbers of patients with late presentations and acute complications associated with in-hospital mortality.

Original languageEnglish
Pages (from-to)646-650
Number of pages5
JournalAmerican Journal of Emergency Medicine
Volume31
Issue number4
DOIs
Publication statusPublished - Apr 2013

Fingerprint

Hospital Emergency Service
Colorectal Neoplasms
Hospital Departments
Hospital Mortality
Mortality
Intestinal Obstruction
Abdominal Pain
Medical Records
Length of Stay
Hemoglobins
Referral and Consultation
Physicians

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

An evolutionary role of the ED : Outcomes of patients with colorectal cancers presenting to the ED were not compromised. / Chen, Yu Lung; Chang, Wei Chou; Hsu, Hsien He; Hsu, Chin Wang; Lin, Yen Yue; Tsai, Shih Hung.

In: American Journal of Emergency Medicine, Vol. 31, No. 4, 04.2013, p. 646-650.

Research output: Contribution to journalArticle

Chen, Yu Lung ; Chang, Wei Chou ; Hsu, Hsien He ; Hsu, Chin Wang ; Lin, Yen Yue ; Tsai, Shih Hung. / An evolutionary role of the ED : Outcomes of patients with colorectal cancers presenting to the ED were not compromised. In: American Journal of Emergency Medicine. 2013 ; Vol. 31, No. 4. pp. 646-650.
@article{744e9461b85442369ed5303aed61b6a6,
title = "An evolutionary role of the ED: Outcomes of patients with colorectal cancers presenting to the ED were not compromised",
abstract = "Purpose Patients with colorectal cancer (CRC) who present to the emergency department (ED) reportedly have poorer prognoses than other referral sources. The purpose of this study was to compare the clinical presentations and outcomes of patients referred to the hospital from the ED and those referred from non-ED facilities. Methods This retrospective medical record review study was conducted from January 1, 2008, to December 31, 2008, and comprised patients newly diagnosed as having CRC admitted to the hospital from the ED or referred from non-ED sources. Patients were admitted for CRC diagnosis confirmation, staging, and treatment. The staging at diagnosis and 2-year mortality were measured. Results Forty-five (29.2{\%}) patients comprised the ED group, and another 109 (70.8{\%}) patients comprised the non-ED group. Patients in the ED group had significantly longer hospital stays, greater in-hospital mortality, abdominal pain, intestinal obstruction, complications, lower hemoglobin levels, and more proximal than rectosigmoid tumor locations compared with patients referred from other sources. However, there was no statistically significant difference in stage at diagnosis or 2-year mortality rate between the groups. Conclusions The ED played a pivotal role in the clinical and diagnostic evaluations of patients with CRC at our institution. Emergency department physicians provided timely diagnoses of CRC because the stage at diagnosis and 2-year mortality rate of ED patients were not compromised compared with that of patients referred from non-ED sources. Efforts should be made to reduce the numbers of patients with late presentations and acute complications associated with in-hospital mortality.",
author = "Chen, {Yu Lung} and Chang, {Wei Chou} and Hsu, {Hsien He} and Hsu, {Chin Wang} and Lin, {Yen Yue} and Tsai, {Shih Hung}",
year = "2013",
month = "4",
doi = "10.1016/j.ajem.2012.11.004",
language = "English",
volume = "31",
pages = "646--650",
journal = "American Journal of Emergency Medicine",
issn = "0735-6757",
publisher = "W.B. Saunders",
number = "4",

}

TY - JOUR

T1 - An evolutionary role of the ED

T2 - Outcomes of patients with colorectal cancers presenting to the ED were not compromised

AU - Chen, Yu Lung

AU - Chang, Wei Chou

AU - Hsu, Hsien He

AU - Hsu, Chin Wang

AU - Lin, Yen Yue

AU - Tsai, Shih Hung

PY - 2013/4

Y1 - 2013/4

N2 - Purpose Patients with colorectal cancer (CRC) who present to the emergency department (ED) reportedly have poorer prognoses than other referral sources. The purpose of this study was to compare the clinical presentations and outcomes of patients referred to the hospital from the ED and those referred from non-ED facilities. Methods This retrospective medical record review study was conducted from January 1, 2008, to December 31, 2008, and comprised patients newly diagnosed as having CRC admitted to the hospital from the ED or referred from non-ED sources. Patients were admitted for CRC diagnosis confirmation, staging, and treatment. The staging at diagnosis and 2-year mortality were measured. Results Forty-five (29.2%) patients comprised the ED group, and another 109 (70.8%) patients comprised the non-ED group. Patients in the ED group had significantly longer hospital stays, greater in-hospital mortality, abdominal pain, intestinal obstruction, complications, lower hemoglobin levels, and more proximal than rectosigmoid tumor locations compared with patients referred from other sources. However, there was no statistically significant difference in stage at diagnosis or 2-year mortality rate between the groups. Conclusions The ED played a pivotal role in the clinical and diagnostic evaluations of patients with CRC at our institution. Emergency department physicians provided timely diagnoses of CRC because the stage at diagnosis and 2-year mortality rate of ED patients were not compromised compared with that of patients referred from non-ED sources. Efforts should be made to reduce the numbers of patients with late presentations and acute complications associated with in-hospital mortality.

AB - Purpose Patients with colorectal cancer (CRC) who present to the emergency department (ED) reportedly have poorer prognoses than other referral sources. The purpose of this study was to compare the clinical presentations and outcomes of patients referred to the hospital from the ED and those referred from non-ED facilities. Methods This retrospective medical record review study was conducted from January 1, 2008, to December 31, 2008, and comprised patients newly diagnosed as having CRC admitted to the hospital from the ED or referred from non-ED sources. Patients were admitted for CRC diagnosis confirmation, staging, and treatment. The staging at diagnosis and 2-year mortality were measured. Results Forty-five (29.2%) patients comprised the ED group, and another 109 (70.8%) patients comprised the non-ED group. Patients in the ED group had significantly longer hospital stays, greater in-hospital mortality, abdominal pain, intestinal obstruction, complications, lower hemoglobin levels, and more proximal than rectosigmoid tumor locations compared with patients referred from other sources. However, there was no statistically significant difference in stage at diagnosis or 2-year mortality rate between the groups. Conclusions The ED played a pivotal role in the clinical and diagnostic evaluations of patients with CRC at our institution. Emergency department physicians provided timely diagnoses of CRC because the stage at diagnosis and 2-year mortality rate of ED patients were not compromised compared with that of patients referred from non-ED sources. Efforts should be made to reduce the numbers of patients with late presentations and acute complications associated with in-hospital mortality.

UR - http://www.scopus.com/inward/record.url?scp=84875408773&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84875408773&partnerID=8YFLogxK

U2 - 10.1016/j.ajem.2012.11.004

DO - 10.1016/j.ajem.2012.11.004

M3 - Article

VL - 31

SP - 646

EP - 650

JO - American Journal of Emergency Medicine

JF - American Journal of Emergency Medicine

SN - 0735-6757

IS - 4

ER -